Living Near Major Traffic Roads and Risk of Deep Vein Thrombosis
Andrea Baccarelli, Ida Martinelli, Valeria Pegoraro, Steven Melly, Paolo Grillo, Antonella Zanobetti, Lifang Hou, Pier Alberto Bertazzi, Pier Mannuccio Mannucci and Joel Schwartz
Circulation (New York, N.Y.), v 119(24), pp 3118-3124
Cardiac & Cardiovascular Systems Cardiovascular System & Cardiology Life Sciences & Biomedicine Peripheral Vascular Disease Science & Technology
Background-Particulate air pollution has been consistently linked to increased risk of arterial cardiovascular disease. Few data on air pollution exposure and risk of venous thrombosis are available. We investigated whether living near major traffic roads increases the risk of deep vein thrombosis (DVT), using distance from roads as a proxy for traffic exposure.
Methods and Results-From 1995 through 2005, we examined 663 patients with DVT of the lower limbs and 859 age-matched controls from cities with population > 15 000 inhabitants in Lombardia Region, Italy. We assessed distance from residential addresses to the nearest major traffic road using geographic information system methodology. The risk of DVT was estimated from logistic regression models adjusting for multiple clinical and environmental covariates. The risk of DVT was increased (odds ratio = 1.33; 95% confidence interval, 1.03 to 1.71; P = 0.03 in age-adjusted models; odds ratio = 1.47; 95% confidence interval, 1.10 to 1.96; P = 0.008 in models adjusted for multiple covariates) for subjects living near a major traffic road (index distance of 3 meters, 10th centile of the distance distribution) compared with those living farther away (reference distance of 245 meters, 90th centile). The increase in DVT risk was approximately linear over the observed distance range (from 718 to 0 meters) and was not modified after adjusting for background levels of particulate matter (odds ratio = 1.47; 95% confidence interval, 1.11 to 1.96; P = 0.008 for 10th versus 90th distance centile in models adjusting for area levels of particulate matter < 10 mu m in aerodynamic diameter in the year before diagnosis).
Conclusions-Living near major traffic roads is associated with increased risk of DVT. (Circulation. 2009; 119: 3118-3124.)
Living Near Major Traffic Roads and Risk of Deep Vein Thrombosis
Creators
Andrea Baccarelli - Ospedale Maggiore
Ida Martinelli - Ospedale Maggiore
Valeria Pegoraro - Ospedale Maggiore
Steven Melly - Ospedale Maggiore
Paolo Grillo - Ospedale Maggiore
Antonella Zanobetti - Ospedale Maggiore
Lifang Hou - Ospedale Maggiore
Pier Alberto Bertazzi - Ospedale Maggiore
Pier Mannuccio Mannucci - Ospedale Maggiore
Joel Schwartz - Ospedale Maggiore
Publication Details
Circulation (New York, N.Y.), v 119(24), pp 3118-3124
Publisher
Lippincott Williams & Wilkins
Number of pages
7
Grant note
R-82735301 / US Environmental Protection Agency; United States Environmental Protection Agency
ES0002; ES015172-01 / US National Institute of Environmental Health Sciences; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Environmental Health Sciences (NIEHS)
2007-2S2HT8 / Italian Ministry of Scientific Research-Programs of Scientific Research of Relevant National Interest (PRIN); Ministry of Education, Universities and Research (MIUR); Research Projects of National Relevance (PRIN)
R01ES015172 / NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Environmental Health Sciences (NIEHS)
Cassa di Risparmio delle Province Lombarde (CARIPLO) Foundation; Fondazione Cariplo
Resource Type
Journal article
Language
English
Academic Unit
Urban Health Collaborative
Web of Science ID
WOS:000267279900012
Scopus ID
2-s2.0-67649563006
Other Identifier
991021875476204721
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